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enlarged thyroid gland with numerous cystic and solid nodules with a multinodular goiter

A 59-year-old female asked:
Dr. Ed Friedlander
43 years experience Pathology
Watch it yourself: Get acquainted with how your gland feels. If one of the nodules starts getting appreciably bigger while the rest stay the same, get seen. This may hap ... Read More

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A 63-year-old female asked:
Dr. Alan Feldman
40 years experience Endocrinology
Possibly autoimmune: Heterogeneous texture is an ultrasound description of thyroid tissue that looks irregular, as if there are many small nodules. This is a common findi ... Read More
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2 thanks
A 63-year-old female asked:
Dr. Tracy Sinha
52 years experience Allergy and Immunology
10---15 days: You have autoimmune hypothyroidism and need to to be seen by an endocrinologist , who want to be sure cold or hot nodules and ... Read More
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5 thanks
A 55-year-old female asked:
Dr. Leroy Fleischer
35 years experience Internal Medicine
They are "cold": In this case, the nodules are non-functioning, so they do not take up the nuclear tracer.
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3 thanks
A 43-year-old female asked:
Dr. Donald Colantino
60 years experience Internal Medicine
Thyroidologist: Multinodular thyroid nodules are usually benign, but a thyroidologist is best qualified to advise you on whether any of them should be biopsied(needle ... Read More
A 44-year-old female asked:
Dr. Quang Nguyen
Specializes in Endocrinology
Autoimmune thyroid?: Autoimmune thyroid disease can cause the description that you just described. Heterogenicity can occur due to destruction of thyroid antibodies.
A 40-year-old member asked:
Dr. Bruce J. Stringer
46 years experience Radiology
Yes: By definition, any enlargement of the thyroid gland is a goiter. So if the nodule is causing the thyroid to be enlarged, there is a goiter. The questi ... Read More
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2 comments
A female asked:
Dr. Clarence Grim
56 years experience Endocrinology
Goiter: Sounds like a goiter to me. Happy to do 2nd Opinion to help more.
A female asked:
Dr. Michael Kleerekoper
50 years experience Endocrinology
Thyroid nodule: Unlikely to be a cancer but surgical removal of the nodule is in order.
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1 thank
A 46-year-old female asked:
Dr. David Sneid
40 years experience Endocrinology
If the FNA: Is definitively "negative" not just inconclusive, many endocrinologists would just observe and follow-up at a later date w/repeat lab, exam and ultras ... Read More
A female asked:
Dr. Jason Boardman
24 years experience General Surgery
Thyroid: Thyroid are very common and can be found on exam of the neck, US or CT scan. Depending on the number of nodules, size of the nodules and any underlyin ... Read More
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A 53-year-old member asked:
Dr. Thomas Knecht
30 years experience Endocrinology
Multinodular goiter: Hi. Your hyper-functioning nodule is producing thyroid hormone without pituitary regulation. Since you have multiple nodules, chances are they're all ... Read More
A 45-year-old female asked:
Dr. Michael Kleerekoper
50 years experience Endocrinology
Thyroid: Absolutely there is cause for further tests. There should be very little delay - hopefully today or tomorrow - to get more explanation of your thyroid ... Read More
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1 thank
A 57-year-old female asked:
Dr. Bruce J. Stringer
46 years experience Radiology
Can't say for sure.: Most of the time, such findings will not be cancer. The only way to be more confident is to do a needle biopsy.
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1 thank
A member asked:
Dr. Matt Wachsman
35 years experience Internal Medicine
Most commonly benign: but will likely need a biopsy to be able to differentiate it from cancer.
A 53-year-old female asked:
Dr. David Sneid
40 years experience Endocrinology
Surgery or...: A repeat biopsy combined with an afirma assay test may give you somewhat better guidance, but with your history and risk factors, surgery may be the b ... Read More
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1 thank
A 31-year-old female asked:
Dr. Philip Kern
42 years experience Endocrinology
See a specialist: See an endocrinologist who deals with thyroid nodules. You may need a needle biopsy/aspiration of the cyst/nodule, but it depends on what it looks li ... Read More
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2 thanks
A female asked:
Dr. Saptarshi Bandyopadhyay
20 years experience Hospital-based practice
No definite answer.: There's no way to know from an ultrasound whether a thyroid nodule is malignant or benign. Don't be fooled by Radiologist - all imaging is limited in ... Read More
A 36-year-old member asked:
Dr. Nika Ferdowsi
Specializes in Family Medicine
Depends: It is possible to have normal TSH levels, and it is also possible to have abnormal TSH levels. Benign nodules may or may not change in size. Anytime t ... Read More
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3 thanks
A 40-year-old female asked:
Dr. Yash Khanna
56 years experience Family Medicine
Yes Very Rarely only: You do have hashimotos disease causing hypothyroidism and are being treated for it with synthroid (thyroxine).Why you think you may have thyroid cance ... Read More
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1 thank
A 26-year-old female asked:
Dr. Gurmukh Singh
48 years experience Pathology
Not cancer: These are non-diagnostic findings. It is not cancer. However, you should follow your doctor's advice for follow-up tests and treatments.
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1 thank
A 66-year-old female asked:
Dr. Stanley Schwartz
51 years experience Endocrinology
More likely, its ...: Lung related- see lung specialist, ? Biopsy node and certainly can ask endocrinologist to do fine needle aspirate of any worrisome thyroid nodule.
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2 thanks
A 52-year-old female asked:
Dr. Philip Kern
42 years experience Endocrinology
No effect of diet: Unfortunately, it is an autoimmune disease, controlled by antibodies to the thyroid, and diet will not help. If you are hypothyroid, you may benefit ... Read More
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1 thank
A 47-year-old female asked:
Dr. Martin Raff
55 years experience Infectious Disease
Depends: Obviously (at least to physicians) you should wait for the pathology report on the biopsy, but with new lesions in the thyroid excision remains a sign ... Read More
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1 thank

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